HomeMy WebLinkAbout3030 MARNIE AVE (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
4,11 Alt 05/26/2021 06/30/2021 2021-00000279 $80.00
4terloo o
Customer#: 10511 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
HIGHWAY 63 DINER 715 Mulberry St
3030 MARNIE AV WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 3030 MARNIE AVE-4-20-21 FOR BILLING INQUIRY: (319)291-4323
Description Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
10511 05/26/2021 06/30/2021 2021-00000279 $80.00
Less Prepayment $0.00
Total Due---> $80.00
City of Waterloo
WATERLOO FIRE RESCUE 00
INSPECTION REPORT
HIGHWAY 63 DINER,3030 MARNIE AVE,BLDG 3030 MARNIE AVE, WATERLOO IA 50701 4410
DETAILS
Inspection Date:04/20/2021 I Inspection Type:Annual Inspection(1Yr) I Inspection Number:4647 j Shift: N/A j Station: N/A
Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A I Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 605.7-Appliances Electrical appliances and fixtures shall be tested and listed in published reports of
inspected electrical equipment by an approved agency and installed and maintained
in accordance with all instructions included as part of such listing.
Inspector:JEFF SIEBEL-Comments:provide documentation of dryer vent cleaning to
the outside of the building.
GENERAL NOTES
JEFF SIEBEL-04/21/2021 @ 15:26 annual inspection$80
REINSPECTION DATE
05/10/2021
CONTACT SIGNATURE
Jeani Johnson (k 'd
16)
Signed on:04/21/2021 @ 15:35
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:04/21/2021 @ 15:35
Printed on 04/21/2021 @ 15:36
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